How it insert catheter to a newborn Boy

Newborn infants may sometimes need a urinary catheter and as sensitive as it may sound, you might need to insert a urinary catheter to an newborn. Infants with an indwelling catheter shall have catheter care performed daily by licensed nursing personnel.

Purpose

1.     To obtain a urine specimen for diagnostics purposes.

2.     To relieve urinary retention.

3.     To determine the existence of residual urine.

4.     To provide continuous bladder drainage.

5.     To monitor urinary output accurately.

6.     To perform cystography.

7.     To provide continuous bladder irrigation in the case of bleeding to prevent clot formation and retention.

Equipment needed for newborn catheterization.

1.     Sterile gloves

2.     Urine catheter – (use smallest diameter catheter to avoid complications; A 3.5 Fr catheter is recommended for infant< 1000 grams and 5 Fr catheter for larger infants)

3.     Urinary drainage collection system

4.     Povidone-iodine swabs

5.     Water-soluble lubricant

6.     Sterile gauze

7.     Sterile towel

8.     Sterile container

9.     Baby soap and water

Procedure

1.      Identify patient per procedure

2.     If laboratory analysis is required take provider’s order and laboratory test order chart and complete requisitions per your facility policy. Your unit secretary may help.

3.      The nurse shall verify at the patient’s bedside that the name and medical record number of the infant (id band and crib card) matches the name and medical record number on the provider order, laboratory requisition and patient label. This step must be completed prior to specimen collection.

4.     Gather equipment. Equipment must remain sterile throughout the procedure to prevent introduction of bacteria into the bladder or the specimen.

5.     Perform hand hygiene.

6.     Utilizing sterile technique introduce items needed for the procedure onto a sterile field. Open water-soluble lubricant package and squeeze onto sterile field.

7.     Place infant on a sterile towel and position supine in the frog-leg position if possible. For infant’s with a myelomeningocele keep in the prone position.

8.     Don sterile gloves.